Donation form
About you
Name: Optional
Email: Optional
Donation Details
Payment method:
Bank/Wire tranfer data: -----------------
Recipient: home.pl S.A.
The recipient's details: ul. Zbożowa 4, 70-653 Szczecin
Recipient's account: 65 1140 1124 3630 2700 0137 6482
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Amount: Minimum 1
Currency:
Donation Note
Note:
Image verification
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